Medical Claims Manager

We're Hiring: Provider Dispute Claims Processor We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, adjudicating medical claims and resolving provider disputes in compliance with regulatory guidelines and internal policies. This role requires strong analytical skills, a high level of accuracy,...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing, and processing claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, and policies within the agreed SLAs (Service Level of Agreements)JOB QUALIFICATIONS:Graduate of Bachelor of Science in Nursing or any related medical course - FRESH GRADUATES...

Date Posted: August 23, 2019Job Location: Makati CityJob Description:check completeness of required documentsensure that all medical for check payment request has secured proper approval.conducts routine reconciliation of outstanding accounts with providers.ensure that all medical claims documents are properly filed and labeled.perform other duties maybe...

Job Objective / PurposeThe Claim Processor is responsible for timely processing of medical claims based on the member's health benefit program. They analyze medical information, perform data entry, handle reimbursement claims, and decide whether a claim should be covered or denied. Communicate issues or exceptions to other concerned departments as...

Please visit for more information. Acknowledge receipt of Claim requests. Upload claim documents to case in the health claims system Validate claim details in the health claims system Update Claim status and notes in the health claims system Update TPA file for endorsement to Claims Control Team Adheres to service standards of processing...

 Acknowledge receipt of Claim requests. Upload claim documents to case in the health claims system Validate claim details in the health claims system Update Claim status and notes in the health claims system Update TPA file for endorsement to Claims Control Team Adheres to service standards of processing administrative requests Ensures...

Please visit for more information.Job Description:Directly responsible for the adjudication and approval of death, critical illness, TPD, Hospitalization benefit of all individual and group insurance claims within his/her approval limit and within the agreed turnaround time.Ensures that the life claims benefits are paid out in accordance with existing...

About the role This full-time Claims Manager role at MANILA BANKERS LIFE INSURANCE CORP' in Makati City Metro Manila is an exciting opportunity to join a leading insurance provider. As Claims Manager, you will be responsible for overseeing the efficient and effective processing of insurance claims to provide high-quality service to our customers.What you'll...

Established in 1999, AXA Philippines is one of the largest and fastest growing life insurance companies in the country. It offers financial security to more than one million individuals through its group and individual life insurance as well as general insurance products through its subsidiary Charter Ping An. AXA Philippines is one of the first to introduce...

BAU Responsibilities:Directly responsible for the adjudication and approval of death, critical illness, TPD,  hospitalization benefit of all individual and group insurance claims within his/her approval limit and within the agreed turn around time. Ensures that the life claims benefits are paid out in accordance with existing Philippine life insurance laws...